Payor Contract Analyst

3 months ago

Coral Gables, United States Palm Medical Centers Full time

The Payor Contract Analyst will support payor negotiations and strategic decisions with existing payor relationships through financial modeling and analysis.

Job Functions: Evaluate the profitability of new and existing payor contracts by extracting, analyzing, and interpreting complex data. Maintain all payor agreements and amendments and communicate relevant changes and financial impacts to leadership. Work with various data extracts and formats to perform comprehensive financial reconciliations of payor inputs. Collect and analyze payor data sets to identify discrepancies, irregularities, or other material changes to financials and communicate findings to relevant stakeholders. Create, maintain, and share list of strategic initiatives with projected financial values and manage the process through completion. Collaborate cross functionally both internally and externally to ensure key deliverables are delivered timely and that all initiatives are completed timely and accurately. Audit and monitor all payer files needed for analytics on an ongoing basis for completeness and accuracy communicating any changes or discrepancies identified to the appropriate stakeholders monitoring updates through completion. Experience and Skills:

3-5 years of financial analytical experience in managed care/physician group setting. Bachelor’s degree in business administration (Finance, Economics, Accounting preferred). Advanced Excel skills including translation of files and use of complex formulas and pivot tables. Intermediate SQL knowledge (preferred but not required). Ability to translate financial results into summarized power point presentations with charts and other visuals. Ability to work independently in a fast-paced and changing environment, managing priorities and meeting deadlines without close supervision. Excellent collaboration and communication skills including the ability to discuss complex financial healthcare topics and financial findings in concise manner both verbally and written. Strong knowledge of managed care with emphasis on Medicare Advantage population.

Pay:

Starting at $80,000 (negotiable based on experience)

Palm Medical Centers is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Palm Medical Centers makes hiring decisions based solely on qualifications, merit, and business needs at the time. #J-18808-Ljbffr

  • Revenue Cycle Payer Relations Analyst

    4 days ago

    Coral Gables, United States University of Miami Full time

    Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet. The Central Business Office has an exciting opportunity for a...

  • Epic Senior Analyst Resolute Hospital Billing

    4 days ago

    Coral Gables, United States University of Miami Full time

    Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet. *** Remote Option Available *** The University of Miami Health...

  • Senior Claims Analyst

    4 days ago

    Coral Gables, Florida, United States DOCTORS HEALTHCARE PLANS, INC. Full time

    The Claims Examiner III plays a crucial role in ensuring that claims are evaluated in accordance with departmental protocols while supporting the Claims Manager in optimizing workflow and processes to meet established objectives. Key Responsibilities: Assess and authorize both professional and institutional claimsHandle Member Reimbursement claims...

  • Patient Access Representative 1

    5 days ago

    Coral Gables, United States University of Miami Full time

    Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet. **** $1,000 Sign On Bonus **** The Patient Access department has...

  • Patient Access Representative 1 On-Site at Lennar

    4 days ago

    Coral Gables, United States University of Miami Full time

    Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet. **** $1,000 Sign On Bonus **** The Patient Access department has...

  • Intellectual Property Licensing Specialist

    4 days ago

    Coral Gables, Florida, United States University of Miami Full time

    Intellectual Property Licensing SpecialistThe Intellectual Property Licensing Specialist will collaborate effectively with colleagues to perform and oversee technical, patent, and market analysis within designated technology sectors.The main duties for this role encompass, but are not limited to, independently evaluating innovation disclosures for their...

  • Licensing Associate

    2 months ago

    Coral Gables, United States The University of Miami Full time

    Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet. The mission of the Office of Technology Transfer (OTT) is to...

  • Senior Azure Cloud Administrator

    4 days ago

    Coral Gables, Florida, United States INSPYR Solutions Full time

    Title: Senior Azure Cloud Administrator Schedule: Hybrid - On-site three days a week Duration: Contract - Initial term of six months with potential for extension Work Requirements: US Citizens, Green Card Holders, or individuals authorized to work in the US Job Overview We are in search of a proficient Senior Azure Cloud Administrator. This role involves...

  • Azure Cloud Admin

    4 weeks ago

    Coral Gables, United States INSPYR Solutions Full time

    Title: Sr. Azure Admin Location: Coral Gables Schedule: Hybrid - Tues, Wed, Thurs on-site Duration: Contract - 6 months to start, extension beyond likely Work Requirements: US Citizen, GC Holders or Authorized to Work in the US Job Description We are seeking a strong Senior Azure Systems Administrator in Miami, FL. The Senior Azure Systems Administrator...

  • Board Certified Behavior Analyst

    3 months ago

    Cape Coral, United States Prestige Behavioral Center LLC Full time

    Job DescriptionJob DescriptionJob Description – Board Certified Behavior Analyst (BCBA)TITLE: Board Certified Behavior AnalystMINIMUM QUALIFICATIONS: Master’s degree in Special Education or related human services field Successful completion of internship and/or formal training in the analysis of behavior and instructional strategies training...

  • Senior Demand Planner Analyst, Supply Chain

    1 month ago

    Coral Springs, United States Jacobs Management Group, Inc. Full time

    Job Title: Senior Demand AnalystOnsite - in office 5 days a weekSummary:The Senior Demand Analyst is responsible for analyzing and planning finished goods demand, collaborating closely with commercial teams and customers to gather market data that enhances statistical forecast models and optimizes material stock levels. This vital role aims to improve...

  • Senior Demand Planner Analyst, Supply Chain

    1 month ago

    Coral Springs, United States Jacobs Management Group, Inc. Full time

    Job Title: Senior Demand AnalystOnsite - in office 5 days a weekSummary:The Senior Demand Analyst is responsible for analyzing and planning finished goods demand, collaborating closely with commercial teams and customers to gather market data that enhances statistical forecast models and optimizes material stock levels. This vital role aims to improve...

  • Senior Demand Analyst

    4 weeks ago

    Coral Springs, United States LifeSync Full time

    Job DescriptionJob DescriptionJob Title:Senior Demand Analyst Department:OperationsReports to:Senior Supply Chain Manager FLSA☒Exempt☐Non-ExemptSUMMARY: The Senior Demand Analyst is responsible for analysis and planning of finished good demand working closely with the commercial teams or customers to get market enrichment data to support statistical...

  • Senior Demand Analyst

    4 weeks ago

    Coral Springs, United States LifeSync Full time

    Job DescriptionJob DescriptionJob Title:Senior Demand Analyst Department:Operations (On-Site)Reports to:Senior Supply Chain Manager FLSA☒Exempt☐Non-ExemptSUMMARY: The Senior Demand Analyst is responsible for analysis and planning of finished good demand working closely with the commercial teams or customers to get market enrichment data to support...

  • Travel Physical Therapist

    1 day ago

    Cape Coral, United States Pioneer Healthcare Services Full time

    Tired of Recruiters not listening to your needs* Call Pioneer Healthcare today and experience the difference.. Pioneer Healthcare Services is currently seeking a(n) PT for a 13 week contract in Cape Coral, FL. We are seeking a PT with the skills to blaze a new trail in providing superior patient care. The ideal applicant will have a minimum of 1 year...

  • Travel Speech Language Pathologist

    1 day ago

    Cape Coral, United States Pioneer Healthcare Services Full time

    Tired of Recruiters not listening to your needs* Call Pioneer Healthcare today and experience the difference.. Pioneer Healthcare Services is currently seeking a(n) SLP for a 13 week contract in Cape Coral, FL. We are seeking a SLP with the skills to blaze a new trail in providing superior patient care. The ideal applicant will have a minimum of 1 year...

  • Commercial Construction Cost Analyst

    4 days ago

    Coral Springs, Florida, United States Gpac Full time

    Senior Estimator RoleGpac is a prominent player in the commercial contracting sector, dedicated to delivering high-quality projects and ensuring client satisfaction. We are currently in search of a talented Senior Estimator to enhance our estimating division.Position Overview:In the role of Senior Estimator, you will take charge of the estimating operations...

  • Travel Physical Therapist

    1 day ago

    Cape Coral, United States Pioneer Healthcare Services Full time

    Pioneer Healthcare Services is currently seeking a PT for a weeks contract in Cape Coral, FL. We are seeking a PT with the skills to blaze a new trail in providing superior patient care. PT`s who work for Pioneer Healthcare Services are dedicated professionals who conduct rehab programs amongst diverse populations and are enthusiastic about the difference...

  • Travel Physical Therapist

    13 hours ago

    Cape Coral, United States Pioneer Healthcare Services Full time

    Tired of Recruiters not listening to your needs* Call Pioneer Healthcare today and experience the difference..Pioneer Healthcare Services is currently seeking a(n) PT for a 13 week contract in Cape Coral, FL. We are seeking a PT with the skills to blaze a new trail in providing superior patient care.The ideal applicant will have a minimum of 1 year...

  • Product Development Analyst

    1 month ago

    Cape Coral, United States Cuttingedgesearch Full time

    Job Purpose The Product Development Specialist will be responsible for the research and development of our dietary supplement and sports nutrition lines. This position involves coordinating the product development process for new formulations from initiation to launch, working internally with other departments and externally with manufacturers and suppliers....